NAVLE Gastrointestinal and Digestive

Porcine Proliferative Enteropathy – NAVLE Study Guide

Porcine Proliferative Enteropathy (PPE), also known as ileitis, is an economically significant enteric disease of swine caused by Lawsonia intracellularis, an obligate intracellular, Gram-negative, microaerophilic, curved rod-shaped bacterium.

Overview and Clinical Importance

Porcine Proliferative Enteropathy (PPE), also known as ileitis, is an economically significant enteric disease of swine caused by Lawsonia intracellularis, an obligate intracellular, Gram-negative, microaerophilic, curved rod-shaped bacterium. PPE is endemic in pig herds worldwide with herd prevalence often exceeding 90% and represents one of the most important causes of enteric disease in growing pigs.

The disease is characterized by distinctive thickening of the intestinal mucosa due to proliferation of immature intestinal crypt epithelial cells. Lesions primarily occur in the ileum but may extend to the jejunum, cecum, and colon. Economic losses stem from reduced growth rates, poor feed conversion efficiency, increased mortality (in acute cases), and treatment costs.

High-YieldLawsonia intracellularis is an OBLIGATE intracellular bacterium that cannot be cultured on conventional media - it requires cell culture systems for isolation. This distinguishes it from other enteric pathogens like Salmonella and Brachyspira.
Characteristic Description
Gram Stain Gram-negative
Morphology Curved or S-shaped rods (vibrioid), resembling Campylobacter
Oxygen Requirement Microaerophilic (requires reduced oxygen)
Growth Requirement OBLIGATE intracellular - requires cell culture (cannot grow on cell-free media)
Cell Location Replicates freely in apical cytoplasm of enterocytes (not within vacuoles)
Visualization Warthin-Starry silver stain or immunohistochemistry
Environmental Survival Survives 1-2 weeks in feces at 5-15°C; inactivated by common disinfectants

Etiology

Causative Agent

Lawsonia intracellularis is the sole member of the genus Lawsonia within the family Desulfovibrionaceae. Key microbiological characteristics include:

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